| Tsai TC |
------>authors3_c= ------>paper_class1=1 ------>Impact_Factor=2.467 ------>paper_class3=2 ------>paper_class2=1 ------>vol=s1 ------>confirm_bywho=None ------>insert_bywho=tsaitc2007 ------>Jurnal_Rank=9.1 ------>authors4_c= ------>comm_author=1 ------>patent_EDate=None ------>authors5_c= ------>publish_day=1 ------>paper_class2Letter=None ------>page2=78 ------>medlineContent= ------>unit=000 ------>insert_date=20080423 ------>iam=1 ------>update_date=None ------>author=??? ------>change_event=1 ------>ISSN= ------>authors_c= ------>score=450 ------>journal_name=Medical Education ------>paper_name=The Quality Of A Simulation Examination Using A High Fidelity Child Mannequin ------>confirm_date=None ------>tch_id=094017 ------>pmid=14641642 ------>page1=72 ------>fullAbstract=PURPOSE: Developing quality examinations that measure physicians~ clinical performance in simulations is difficult. The goal of this study was to develop a quality simulation examination using a high-fidelity child manikin in evaluating paediatric residents~ competence about managing critical cases in a simulated emergency room. Quality was determined by evidence of the reliability, validity and feasibility of the examination. In addition, the participants~ responses regarding its realism, effectiveness and value are presented. METHOD: Scenario scripts and rating instruments were carefully developed in this study. Experts were used to validate the case scenarios and provide evidence of construct validity. Eighteen paediatric residents, ~working~ as pairs, participated in a manikin-based simulation pre-test, a training session and a post-test. Three independent raters rated the participants~ performance on task-specific technical skills, medications used and behaviours displayed. At the end of the simulation, the participants completed an evaluation questionnaire. RESULTS: The manikin-based simulation examination was found to be a realistic, valid and reliable tool. Validity (i.e. face, content and construct) of the test instrument was evident. The level of inter-rater concordance of participants~ clinical performance was good to excellent. The item analysis showed good to excellent internal consistency on all the performance scores except the post-test technical score. CONCLUSIONS: With a carefully designed rating instrument and simulation operation, the manikin-based simulation examination was shown to be reliable and valid. However, a further refinement of the test instrument will be required for higher stake examinations. ------>tmu_sno=None ------>sno=18200 ------>authors2=Harasym PH ------>authors3=Cheri NJ ------>authors4=Powell G ------>authors5= ------>authors6= ------>authors6_c= ------>authors=Tsai TC ------>delete_flag=0 ------>SCI_JNo=None ------>authors2_c= ------>publish_area=0 ------>updateTitle=The quality of a simulation examination using a high-fidelity child manikin. ------>language=2 ------>check_flag=None ------>submit_date=None ------>country=None ------>no=37 ------>patent_SDate=None ------>update_bywho=None ------>publish_year=2003 ------>submit_flag=None ------>publish_month=1 |